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Документ A three-stage therapeutic and diagnostic algorithm in mechanical jaundice of different genesis and the most effective mini-invasive method of its treatment(Полтавський державний медичний університет, 2022) Prykhidko, R. A.; Dudchenko, M. O.; Kravtsiv, M. I.; Zaiets, S. M.; Ivashchenko, D. M.; Chelishvili, A. L.; Shevchuk, M. P.; Прихідько, Роман Анатолійович; Дудченко, Максим Олександрович; Кравців, Микола Ігорович; Заєць, Сергій Миколайович; Іващенко, Дмитро Миколайович; Челішвілі, Анатолій Леонідович; Шевчук, Микола ПетровичThe paper analyzes the experience of treatment of mechanical jaundice with the use of minimally invasive surgical interventions in 176 patients. It has been found that the clinical presentation, laboratory parameters are of secondary importance in determining the etiology and level of biliary obstruction. For the differential diagnosis of etiological factors of obstructive jaundice, we used non-invasive and minimally invasive radiological methods: ultrasound – 203, magnetic resonance cholangiopancreatography – 98, multislice computed tomography – 74, endoscopic retrograde cholangiopancreatography - 138, percutaneous transhepatic cholangiography – 27. In order to determine the informativeness, we evaluated the detection of concretions, strictures of the bile ducts, mass lesions, dilation of intra- and extrahepatic bile ducts. Methods of elimination of biliary hypertension were various types of endoscopic decompression, which were performed in combination with endoscopic retrograde cholangiopancreatography and percutaneous transhepatic cholangiography. We compared the following aspects: the possibility of performing these types of decompression of the bile ducts, their effectiveness in eliminating jaundice and complications. Based on our results, we developed a 3-stage diagnostic and treatment algorithm, whose efficiency in the elimination of mechanical jaundice was 96.0 %.Документ Analysis of clinical parameters of scar tissue of the scalp and neck depending on the circadian rhythm of the patient(Полтавський державний медичний університет, 2022) Skikevych, M. G.; Toropov, O. A.; Voloshyna, L. I.; Yatsenko, P. I.; Steblovskyi, D. V.; Boyko, I. V.; Avetikov, D. S.; Скікевич, Маргарита Георгіївна; Торопов, Олександр Анатолійович; Волошина, Людмила Іванівна; Яценко, Павло Ігорович; Стебловський, Дмитро Валерійович; Бойко, Ігор Васильович; Аветіков, Давид СоломоновичWound healing is a complex and dynamic process. It consists of phases that are closely related. The formation of the postoperative scar is influenced by: the topography of the surgical field, the duration of the inflammatory process, the method of surgical intervention, the time of surgical intervention and the patient's chronotype. In 1970, the Swedish psychologist Oscar Okvist began the scientific study of chronotypes. According to him, the term “chronotype” is used to define the individual characteristics of the circadian rhythm of man.Biological rhythms play an important role in adaptation and survival in the environment. According to previous research, biological rhythm affects not only the mental state, but also reparative functions during wound healing and rehabilitation in the postoperative period.Документ Influence of vacuum instillations with intravenous introduction of nitrogen oxide donators on the healing of purulent soft tissue wounds(Полтавський державний медичний університет, 2022-02) Gorodova-Andreeva, T. V.; Lyakhovskiy, V. I.; Sydorenko, A. V.; Городова-Андрєєва, Тамара Валер'янівна; Ляховський, Віталій Іванович; Сидоренко, Архип ВолодимировичThe efficacy of vacuum therapy with instillations of L-arginine was studied in combination with its intravenous infusion. Results were in 89 patients, treated for purulent-necrotic soft tissue diseases. Patients were emergency operated on. The main group - 44 patients, got the same therapy and intravenous 100 ml of arginine hydrochloride solution daily. 2-3 courses of vacuum therapy, 3 days each were performed. In the main group, signs of intoxication and body temperature returned to normal by an average of 3.1 days. Normalization of the level of leukocytes was observed in 5.4 days. pH-metry from the wound surface, it was found that significant changes in the average pH of patients in the main group were observed for 7-10 days - the beginning of the regeneration phase. The therapy in the main group in comparison with typical local treatment provided accelerated wound cleansing, reduction of microbial contamination and faster transition of purulent-necrotic phase to regeneration.Документ Molecular and genetic characteristics of adenovirus as causes of acute diarrhea in the people of southern Ukraine(Полтавський державний медичний університет, 2022) Appelkhans, O. L.; Kozishkurt, O. V.; Hrytsenko, K. S.; Boruta, N. V.; Shablii, T. P.; Hruzevskyi, O. A.; Naidich, O. V.; Аппельханс, Олена Леонідівна; Козішкурт, Олена Володимирівна; Гриценко, К. С.; Борута, Наталія Володимирівна; Шаблій, Тетяна Петрівна; Грузевський, Олександр Анатолійович; Найдіч, Ольга ВолодимирівнаThe etiological role of adenoviruses as causative agents of acute diarrhea in the southern region of Ukraine was studied. Adenovirus DNA was detected in 10.61±1.05 % of clinical stool samples. Serotypes of two gene groups: C and F were identified during genotyping and sequencing of genetic material of detected adenovirus isolates. Gene group F (HAdV41), proves their role in the occurrence of this infectious pathology. HAdV41 isolates had a significant advantage 75.0±15.31 % and had a pronounced genetic heterogeneity, showed similarities with serotypes circulating in previous years in different regions of the world: Sweden (1978), Japan (2003, 2006), South Africa (2009–2014), Iraq (2016). The obtained results allowed to establish the geographical origin of circulating adenoviruses, as well as to predict a further increase in the intensity of the epidemic process of adenoviral infections in southern Ukraine.Документ Influence of transcription factor κB on remodeling of extracellular matrix of rat liver under conditions of chronic alcohol intoxication(Полтавський державний медичний університет, 2022) Mykytenko, A. O.; Akimov, O. Ye.; Yeroshenko, G. A.; Neporada, K. S.; Микитенко, Андрій Олегович; Акімов, Олег Євгенович; Єрошенко, Галина Анатоліївна; Непорада, Каріне СтепанівнаLiver fibrosis is a common tissue reaction associated with chronic liver damage resulting from prolonged parenchymal cell damage and inflammation. The fibrogenic response is characterized by the progressive accumulation of extracellular matrix components enriched in collagen fibrils and impaired extracellular matrix remodeling. The aim of this study was to establish the effect of transcriptional factor κB on the concentration of oxyproline, glycosaminoglycans and sialic acids in the liver of rats under conditions of chronic alcohol intoxication. The study was performed on 24 male Wistar rats. The animals were divided into 4 groups of 6 animals: І – control; II – animals with inhibition of κB; ІІI – animals with chronic alcohol hepatitis and ІV – animals with κB inhibition on the background of chronic alcohol intoxication. We studied the total concentration of glycosaminoglycans, concentration of heparin-heparan, keratan-dermatan and chondroitin fractions of glycosaminoglycans, free oxyproline and sialic acids in the liver tissue homogenate. Prolonged alcohol intoxication of rats leads to remodeling of the extracellular matrix as evidenced by increased collagenolysis and catabolism of glycoconjugates of amorphous connective tissue of the liver. The use of the inhibitor of the transcription factor κB in the background of prolonged alcohol intoxication of animals reduced the concentration of GAG by 1.43 times, lowered oxyproline concentration by 1.6 times and decreased the concentration of sialic acids by 1.14 times compared to chronic alcohol intoxication group. Transcriptional factor NF-κB under conditions of chronic alcohol intoxication affects the architectural remodeling of connective tissue of rat liver by increasing degradation of collagen fibers and destruction of glycoproteins and proteoglycans of the extracellular matrix.Документ Clinical features of influence of different groups of bleaching agents in the oral cavity at different periods after the end of the treatment(Полтавський державний медичний університет, 2022) Dvornyk, A. V.; Dvornyk, V. M.; Vodoriz, Y. Y.; Skripnykov, P. M.; Tkachenko, I. M.; Дворник, Анна Валентинівна; Дворник, Валентин Миколайович; Водоріз, Ярослав Юрійович; Скрипников, Петро Миколайович; Ткаченко, Ірина МихайлівнаThe purpose of the study was to assess the clinical changes in the oral cavity after using teeth bleaching systems of different compositions. Totally 65 patients were examined. All patients were 20 to 40 years old and had no severe dental and somatic pathology. This clinical study evaluated the effectiveness and side effects of two products for teeth bleaching. The difference in clinical indicators after the bleaching procedure with the selected gels on the microelement structure of oral liquid was detected. We noticed a significant difference in calcium and sodium indices in the oral fluid. Teeth bleaching agents cause tooth sensitivity manifested by changes in the oral fluid viscosity, pH, and the micronutrient composition. Depending on the bleaching agent used, the teeth bleaching procedure should be completed with remineralizing therapy.Документ Influence of food additives complex on the morphology of villi of the rats’ duodenum mucosa(Полтавський державний медичний університет, 2022) Yeroshenko, G. A.; Grygorenko, A. S.; Shevchenko, K. V.; Lysachenko, O. D.; Riabushko, O. B.; Pyvovar, N. M.; Klepets, O. V.; Єрошенко, Галина Анатоліївна; Григоренко, Альона Сергіївна; Шевченко, Костянтин Васильович; Лисаченко, Ольга Дмитрівна; Рябушко, Олена Борисівна; Клепець, Олена Вікторівна; Пивовар, Ніна МихайлівнаThe study presents the findings of the study of the effect of food additives, namely, monosodium glutamate, sodium nitrite and Ponceau-4R on the morphological state of the components of the villi of the rats’ duodenal mucosa. The study was aimed at establishing the dynamics of changes in the metric parameters of the components of the villi of rats’ duodenal mucosa in normal conditions and under the action of the complex of food additives. It has been found that consumption of the complex of food additives leads to changes in the metric values of the height and width of the villi, which at the early stages of the experiment leads to a decrease in their mean values due to the immediate direct action on the mucous membrane with subsequent development of inflammatory reaction and edema, which will lead to an increase in metric values and a decrease in the number of epithelial cells of the villus. Adaptive mechanisms do not fully restore the values of the morphometric study, which is manifested by a decrease in the height of the villi by 20.25 % compared with the control group with an increase in the number of enterocytes with brush border and a decrease in the number of goblet cells by 44.41 %.Документ The normal architectonics of the greater omentum vasculature in elderly people of both gender(Полтавський державний медичний університет, 2022) Stepanchuk, A. P.; Fedorchenko, I. L.; Pryshliak, A. M.; Piliuhin, A. V.; Shepitko, K. V.; Степанчук, Алла Петрівна; Федорченко, Ігор Леонідович; Пришляк, Антоніна Михайлівна; Пілюгін, Андрій Валентинович; Шепітько, Костянтин ВолодимировичVariability of topography of arteries and veins of the greater omentum, taken from 20 cavaders of elderly people was investigated by the methods of anatomical preparation and morphometry. The right and left gastro-omental arteries form the superior arterial arch in 15 of 18 cases, and did not anastomose in 3 cases. The inferior arterial arch was present in 1 of 20 cases. The left gastro-omental artery was absent in 2 of 20 cases. The central artery has a greater length and outer diameter both in women and men. The veins, in comparison with the arteries, have a larger outer diameter and one vein accompanies the artery of the same name. The zone of the central, and in its absence – the right and left medial arteries of the greater omentum can be used for obtaining the graft for transplantation in the quadrangular and triangular shapes of the greater omentum of the elderly people.Документ Overweight and obesity as risk factors for chemotherapy-induced hepatotoxicity in patients with acute lymphoblastic leukemia(Полтавський державний медичний університет, 2022) Skrypnyk, I. M.; Maslova, G. S.; Lymanets, T. V.; Скрипник, Ігор Миколайович; Маслова, Ганна Сергіївна; Лиманець, Тетяна ВолодимирівнаObesity is one of the proven risk factors for all types of tumors and is one of the reasons for reducing the effectiveness of specific chemotherapy and the development of chemotherapy-induced injury of liver. This article presents the results of functional liver state monitoring in patients with acute lymphoblastic leukemia during remission induction chemotherapy, taking into account the overweight and obesity. High toxicity of acute lymphoblastic leukemia chemotherapy regimens with a general tendency to hypoproteinemia development has been demonstrated. The overweight and obesity potentiate cytostatic-induced liver injury in patients with acute lymphoblastic leukemia with maximum risk in case of primary liver injury due to tumor exposure.Документ Clinical and diagnostic aspects of managing patients with valvular heart disease(Полтавський державний медичний університет, 2022) Shaposhnyk, O. A.; Prykhodko, N. P.; Savchenko, L. V.; Shevchenko, T. I.; Sorokina, S. I.; Yakymyshyna, L. I.; Kudria, I. P.; Шапошник, Ольга Анатоліївна; Приходько, Наталія Петрівна; Савченко, Леся Володимирівна; Шевченко, Тетяна Іванівна; Сорокіна, Світлана Іванівна; Якимишина, Лариса Іллівна; Кудря, Ірина ПавлівнаThe article presents the results of examination of 47 patients with valvular heart disease. According to the research findings, when investigating the causes of severe mitral regurgitation, especially in young and middle-aged people, one should primarily consider Barlow's disease, myxomatous mitral valve degeneration, as the primary cause (having excluded fibroelastic deficiency). It was found that among all cases of detected mitral valve prolapse (even minor or moderate), which is currently diagnosed quite often with the development of modern technology, stratification of patients requires additional examinations to identify people at high risk of disease progression and complications, as well as to determine the prognosis.